Provider Demographics
NPI:1154627990
Name:MALDONADO, GABRIELA A (LPC)
Entity Type:Individual
Prefix:MRS
First Name:GABRIELA
Middle Name:A
Last Name:MALDONADO
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MRS
Other - First Name:GABRIELA
Other - Middle Name:A
Other - Last Name:MORQUIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:813 N MAIN ST
Mailing Address - Street 2:SUITE 317
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78501-0004
Mailing Address - Country:US
Mailing Address - Phone:956-624-1024
Mailing Address - Fax:956-627-1037
Practice Address - Street 1:813 N MAIN ST
Practice Address - Street 2:SUITE 317
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78501-0004
Practice Address - Country:US
Practice Address - Phone:956-624-1024
Practice Address - Fax:956-627-1037
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-26
Last Update Date:2016-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX65045101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health